Individual Dental Exchange Rates
| Age | Single | Dependent Child* |
|---|---|---|
| Monthly Rates effective November 1, 2009 through October 31, 2010 *A family will not be charged for more than three dependent children on the same application. |
||
| 0-19 | $39 | 4 |
| 20-34 | $41 | 4 |
| 35+ | $44 | N/A |